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JERRY M. ROBERTS M.D.
NPI 1093761884
Pediatrics in Peachtree City, GA

Active since May 25, 2006PECOS Enrolled
4000 SHAKERAG HL, SUITE 201, PEACHTREE CITY, GA 30269(770) 486-7111(770) 486-7131 Get Directions Write a Review

NPPES record last updated: February 15, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jerry M. Roberts M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY M. ROBERTS M.D. (NPI 1093761884) is an individual pediatrics provider in Peachtree City, Georgia, licensed in Georgia (025657) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093761884
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJERRY M. ROBERTSCredential: M.D.
Location Address4000 SHAKERAG HL, SUITE 201Peachtree City, GA 30269-4047
Mailing AddressPo Box 102321Atlanta, GA 30368-2321
Phone(770) 486-7111
Fax(770) 486-7131
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateFebruary 15, 2012
✔ NPI 1093761884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 025657
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4000 SHAKERAG HL, Peachtree City, GA 30269
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Other Identifiers 2

Medicare UPIND40982GA
Medicare ID-Type Unspecified37BBGXWGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry M. Roberts M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jerry Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Pediatric Medical Group Of Georgia LLC
5.3 mi
Pediatrics
101 YORKTOWN DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 11 clinicians in this Medicare group
NPI 1710385513 (770) 460-4285

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DRAYER PHYSICAL THERAPY INSTITUTE OF KY PLLC
Physical Therapist
4000 SHAKERAG HL, STE 100
PEACHTREE CITY, GA 30269
Fayette County (770) 692-9460
JACQUELYN NICOLE MCDOWELL CPNP
Nurse Practitioner (Pediatrics)
4000 SHAKERAG HL, SUITE 201
PEACHTREE CITY, GA 30269
Fayette County (770) 486-7111
MRS. RENEE S KING FNP-C
Nurse Practitioner
4000 SHAKERAG HL, 301
PEACHTREE CITY, GA 30269
Fayette County (770) 486-7192
ALLERGY SINUS AND COUGH CENTER OF GEORGIA, INC
Allergy & Immunology
4000 SHAKERAG HL, SUITE 300
PEACHTREE CITY, GA 30269
Fayette County (262) 327-0704
NEWNAN LUNG AND SLEEP SPECIALISTS, P.C.
Internal Medicine (Pulmonary Disease)
4000 SHAKERAG HL, SUITE 302
PEACHTREE CITY, GA 30269
Fayette County (770) 253-8088
DR. MICHAEL E. OBENSHAIN MD
Internal Medicine
4000 SHAKERAG HL
PEACHTREE CITY, GA 30269
Fayette County (770) 486-7100
MRS. LISA MACOY NP
Nurse Practitioner
4000 SHAKERAG HL, SUITE 201
PEACHTREE CITY, GA 30269
Fayette County (770) 486-7111
DR. HARRY SNAPPERMAN M.D.
Family Medicine
4000 SHAKERAG HL
PEACHTREE CITY, GA 30269
Fayette County (770) 486-7070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Roberts's NPI number?

The NPI number for Jerry Roberts is 1093761884. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Jerry Roberts located?

Jerry Roberts practices at 4000 Shakerag Hl Suite 201, Peachtree City, GA 30269. The listed phone number is (770) 486-7111.

What is Jerry Roberts's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jerry Roberts enrolled in Medicare?

Yes. Jerry Roberts is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jerry Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Roberts reassigns Medicare benefits to Privia Pediatric Medical Group Of Georgia LLC (Fayetteville, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerry Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jerry Roberts was last updated on February 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.